on duty ❖ USFA: Being involved in operations at the scene of an emergency, fire, or non-fire; responding to, returning from, other assigned duties, on-stand by (not at home) ❖ FFs who become ill performing duties and have a heart attack shortly after returning home may be considered “on duty”

line of duty ❖ NFFF: LODD is that which occurs during an activity or action where a firefighter is obligated or authorized to perform and the action is legally recognized. Documentation must show direct link between incident and death ❖ Hometown Heroes Act of 2003: Adds presumption. Heart attack or stroke within 24 hours of stressful or strenuous activity ❖ NFPA does not recognize Hometown Heroes for the purposes of statistics

PSOB ❖ Public Safety Officers’ Benefits Act of 1976: Guarantees a one-time financial payment to eligible survivors of PSOs whose deaths are considered a direct result of traumatic injury sustained in the line of duty. A claim must be filed. ❖ As of October 1, 2018, the amount of the benefit is $359,316.00

Sudden cardiac Death Obesity = 3.1 times High Cholesterol = 4.4 times Smoking Tobacco = 8.6 times Diabetes = 10.2 times Hypertension = 12 times Age > 45 Years Old = 18 times Diagnosis of CHD = 35 times

27%

solutions? ❖ No national mandates for health and fitness in the U.S. fire service ❖ Multi-Faceted Approach ❖ Individual ❖ Company Officer Level ❖ Organizational Level

everyone’s responsibility ❖ Individual Accountability ❖ You are held to a higher standard! ❖ Company Officer Level ❖ What are you going to do today to improve the health and fitness of your crew? ❖ Executive Level ❖ It’s all about priorities! ❖ Chiefs are not exempt from the “shalls”